TY  - JOUR
AU  - Lopez-Tomassetti Fernandez, E.
AU  - Delgado-Plasencia, L.
AU  - Arteaga-Gonzalez, I.
AU  - Carrillo-Pallares, A.
AU  - Diaz-Romero, F.
T1  - Posttraumatic intrasplenic pseudoaneurysm with high-flow arteriovenous fistula: New lessons to learn
LA  - eng
PY  - 2008
SP  - 305
EP  - 308
T2  - European Journal of Trauma and Emergency Surgery
SN  - 1863-9933
VL  - 34
IS  - 3
AB  - Intrasplenic pseudoaneurysm is a potentially lethal complication of abdominal trauma. We present the case of a 33-year-old patient with this particular complication diagnosed by CT-scan. Selective embolization was not possible due to its extraordinarily large size and finally splenectomy was performed. We review the English literature and discuss the particular role of the interventional radiologist to treat this entity. The interventional radiologist is the specialist who better estimates the success of embolization or the risk and possibility of delayed splenic rupture. Embolization of the arterial tributary to the pseudoaneurysm should be considered as the treatment of choice only when the diagnosis is made before rupture of the spleen and only in selected cases. Splenectomy always remains as an alternative treatment for high-risk pseudoaneurysms. © 2008 Urban & Vogel.
DO  - 10.1007/s00068-007-7106-5
UR  - https://portalciencia.ull.es/documentos/5ec0878f299952560fd26374
DP  - Dialnet - Portal de la Investigación
ER  -